Burn question: Just want to

Nurses General Nursing

Published

Specializes in ICU.

I had a family member end up with a second degree burn on a large section of his LUE resulting in several blisters that have already ruptured. In talking to him I discovered the only treatment his doc has recommended is daily dressing changes with some type of anti microbial scrub. I was kind if astonished he was not given a script for Silvadene (sp?) but he said his doc is against any kind of ointment. Now I understand my limits as a nurse on prescribing tx, however before I tell him his doc is moron and putting him at risk for infection, aside from a sulfa allergy is there any reason for choosing a Surgical scrub and dry dressing over silver sulfa ABX ointment? He said he is reopening the wound everytime he removed the gauze because it's sticking to it. (Which I would love to recommend Xeroform however I don't want to over step). To me doc sounds way off the mark, however I wanted to check myself first. After researching Mayo and Medline, and Nihm it looks like I'm right. Can anyone else add anything? Any wound care nurses out there??

Up Vote Up Vote ×
Specializes in ICU.

Title was supposed to say just wanted to check myself

Up Vote Up Vote ×
Specializes in ED, Pedi Vasc access, Paramedic serving 6 towns.

Sorry, but per the terms of service we cannot give medical advice. Good luck

HPRN

Up Vote Up Vote ×
Specializes in ICU.

Sorry, I must have miss phrased that. I'm not looking for medical advise or to give medical advise. I just have never heard of not going with a Silvadene based treatment and was wondering a reasoning behind that. More of a rationale I guess.

Up Vote Up Vote ×
Specializes in Trauma, Teaching.

I'd take family member to another provider, preferably an expert on skin and/or burns.

Up Vote Up Vote ×
Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

I would check with another provider...however silvadine isn't always used.....As per the Terms of Service we cannot give medical advice

[h=3]Medical Advice:[/h] ALLNURSES.COM, INC. or it's members do not offer medical advice. Any requests for such will be removed. If you have a medical problem, please seek attention from your healthcare provider. You are not allowed to ask for medical advice related to a health situation that affects you, a family member, or someone you know.

Thread closed
Up Vote Up Vote ×
+ Add a Comment